Provider Demographics
NPI:1710620703
Name:SCHUBERT, ALISON (OTR/L)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:SCHUBERT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:
Other - Last Name:ETHRIDGE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:13060 ROCKY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:COLLINSVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39325-9754
Mailing Address - Country:US
Mailing Address - Phone:616-485-9213
Mailing Address - Fax:
Practice Address - Street 1:6600 POPLAR SPRINGS DR
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39305-1105
Practice Address - Country:US
Practice Address - Phone:601-482-5561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-18
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist